person
Adrian Kang-san Kim, DMD
Student in an Organized Health Care Education/Training Program in Champaign, Illinois
NPI 1154172732

Adrian Kang-san Kim is a Student in an Organized Health Care Education/Training Program based in Glen Ellyn, IL. Adrian Kang-san Kim practices in Champaign, IL and has the professional credentials of DMD. The NPI Number for Adrian Kang-san Kim is 1154172732 and holds a License No. (Illinois).

The current practice location address for Adrian Kang-san Kim is 303 W Springfield Ave, Champaign, IL and can be reached out via phone at 217-356-3335.

Location: 303 W Springfield Ave, Champaign, IL, 60137-6785
person
Provider Profile Details
NPI Number
1154172732
Provider Name
Adrian Kang-san Kim
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
303 W Springfield Ave, Champaign, IL, 60137-6785
Phone Number
217-356-3335
Fax Number
Provider Enumeration Date
04/01/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
303 W Springfield Ave
City
State
Zip
61820-4817
Phone Number
217-356-3335
Fax Number
person
Provider Business Mailing Address Details
Address
303 W Springfield Ave
City
State
Zip
61820-4817
Phone Number
217-356-3335
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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